This video describes an elderly patient with idiopathic recurrent necrotizing scleritis OU who presents with diffuse, severe scleral thinning without intraocular inflammation, diffuse synechiae, and a mature cataract. During cataract removal, a spike in IOP induced globe rupture along the weakened superior limbus, expelling the lens and capsule from the wound. The hyaloid face was intact and the wound closed primarily. Four days later, an anterior chamber IOL was placed with meticulous wound revision.